RT Book, Section
A1 McQuillen, Kemedy K.
A1 Gregg, Victoria S.
A2 Schafermeyer, Robert
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
SR Print(0)
ID 1105686274
T1 Inflammatory Musculoskeletal Disorders
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1105686274
RD 2024/04/16
AB NSAIDs,  glucocorticoids,  immunosuppressants,  and  biologic  agents  are  treatment  options  for  systemic  lupus  erythematosus  (SLE)  directed  at  ameliorating  the  underlying  inflammatory  process.Patients  with  suspected  acute  rheumatic  fever  (ARF)  are  admitted  to  the  hospital.  Penicillin  is  indicated  to  eradicate  any  residual  carriage  of  group  A  β-hemolytic  Streptococcus  (GAβHS).Enthesitis-related  arthritis  is  a  rheumatic  disorder  that  can  present  in  later  childhood  or  adolescence.  It  is  characterized  by  involvement  of  the  sacroiliac  joints  and  lumbar  spine,  but  patients  may  also  have  peripheral  arthritis.Reactive  arthritis  is  treated  with  anti-inflammatory  agents:  the  role  of  antibiotic  treatment  is  unclear  unless  Chlamydia  trachomatis  is  the  inciting  infection.In  juvenile  idiopathic  arthritis  (JIA),  polyarticular  disease  involves  more  than  four  joints  and  rheumatoid  factor  may  be  present  or  absent.  Pauciarticular  JIA  involves  four  or  fewer  joints  (most  commonly  leg  joints  but  rarely  hip  involvement).  Intermittent  spiking  fever  may  be  the  initial  manifestation  of  systemic  onset  JIA.